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Andrea E Brockberg

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NPI Number Detailed Information

Provider Information:

Name: Andrea E Brockberg
Gender: F
Provider License Number If Given: R1697315

NPI Information:

NPI: 1821034281
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 6/22/2006

Last Update Date: 8/28/2013

Provider Business Mailing Address:

Address: 2603 WHITE BEAR AVE N
Maplewood, MN 55109
Phone Number: 6516003035
Fax Number: 6513488783

Provider Business Practice Location Address:

Address: 2603 WHITE BEAR AVE N
Maplewood, MN 55109
Phone Number: 6516003035
Fax Number: 6513488783

Provider Taxonomy:

Primary: 363LW0102X
Secondary (if any):
State: MN

Top Doctors in MN

 

About Andrea E Brockberg

Andrea E Brockberg ( ANDREA E BROCKBERG ) is Definition Nurse Practitioner Physician in Maplewood, MN. The NPI Number for Andrea E Brockberg is 1821034281.
The current location address for Andrea E Brockberg is 2603 WHITE BEAR AVE N Maplewood, MN 55109 and the contact number is 6516003035 and fax number is 6513488783. The mailing address for Andrea E Brockberg is 2603 WHITE BEAR AVE N Maplewood, MN 55109- 6516003035 (mailing address contact number - 6516003035).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Andrea E Brockberg ?


Answer: The NPI Number for Andrea E Brockberg is 1821034281

Where is Andrea E Brockberg located?


Answer: Andrea E Brockberg is located at 2603 WHITE BEAR AVE N Maplewood, MN 55109.

What is the specialty for Andrea E Brockberg ?


Answer: The Specialty of Andrea E Brockberg is Definition Nurse Practitioner Physician.

Are there any online reviews for Andrea E Brockberg ?


Answer: Not yet!

Are there any other health care providers in Maplewood, MN?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Andrea E Brockberg

Number of HCPCS 34
Number of Medicare Beneficiaries 25
Number of Services 152
Total Submitted Charge Amount 41910
Total Medicare Allowed Amount 9833.08
Total Medicare Payment Amount 7796.16
Total Medicare Standardized Payment Amount 7857.77
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 34
Number of Medicare Beneficiaries With Medical 25
Number of Medical Services 152
Total Medical Submitted Charge Amount 41910
Total Medical Medicare Allowed Amount 9833.08
Total Medical Medicare Payment Amount 7796.16
Total Medical Medicare Standardized Payment Amount 7857.77
Average Age of Beneficiaries 65
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 25
Number of Male Beneficiaries 0
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement
Number of Beneficiaries With Medicare Only Entitlement
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0
Percent (%) of Beneficiaries Identified With Heart Failure
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0
Percent (%) of Beneficiaries Identified With Depression
Percent (%) of Beneficiaries Identified With Diabetes 0
Percent (%) of Beneficiaries Identified With Hyperlipidemia
Percent (%) of Beneficiaries Identified With Hypertension
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.48
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0
Percent (%) of Beneficiaries Identified With Stroke 0
Average HCC Risk Score of Beneficiaries 0.5539

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Nurse Practitioner
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 146
Number of Standardized 30-Day Fills 300.53333333
Aggregate Cost Paid for All Claims 11997.37
Number of Day's Supply for All Claims 8633
Number of Medicare Beneficiaries 29
Number of Claims, Including Refills, for Beneficiaries Age 65+ 105
Including Refills, for Beneficiaries Age 65+ 235.53333333
Beneficiaries Age 65+ 9518.3
Number of Day's Supply for All Claims for Beneficaries Age 65+ 6975
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 19
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 112
Aggregate Cost Paid for Generic Drugs 6999.1
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 15
Aggregate Cost Paid for Other Drugs 708.33
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 71
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 6364.04
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 75
Aggregate Cost Paid for Claims Filled by 5633.33
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 30
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 1654.5
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 116
by Low-Income Subsidy 10342.87
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 63.068965517
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 29
Number of Male Beneficiaries 0
Number of Non-Hispanic White 28
Number of Black or African American
Number of Asian Pacific Islander 0
Number of Hispanic Beneficiaries 0
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement
Average Hierarchical Condition Category 0.5384137931

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Andrea E Brockberg
Women's Health Nurse Practitioner
NPI Number: 1821034281
Address: 2603 WHITE BEAR AVE N Maplewood, MN 55109 , Phone: 6516003035
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